The recent trend towards ambulatory teaching can pose challenges in terms of recruitment of ambulatory teachers. In order to improve recruitment efforts, we examined the reasons that community preceptors who teach and those who do not teach give for teaching or not teaching students in their offices. Physicians who teach students in their offices report they do so for the enjoyment and for the opportunity to provide teaching to these students. Physicians who do not teach in their offices report constraints of their practice situation, having other non-teaching challenges and being unaware of the teaching possibilities as barriers to teaching. Community preceptors were more likely to be alumni (medical school or postgraduate training) than those who were not preceptors. This study provides insight into the motivators and barriers for ambulatory teachers and has implications for recruiting and rewarding community preceptors.

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CONTEXT: Climate change is a public health crisis that disproportionately affects vulnerable populations. A 2021 joint statement from the editors of 230 healthcare journals summoned health professionals to champion a "sustainable, fairer, resilient, and healthier world". Despite calls for integrating climate change into medical education, few resources exist to guide curricular development. Illness scripts are an educational tool known to improve clinical reasoning and the application of new knowledge. OBJECTIVE: A series of interactive workshop sessions was developed by a multi-institutional working group in San Diego, CA using the 'illness scripts' framework to better educate Family Medicine residents about common medical conditions adversely impacted by extreme weather conditions. STUDY DESIGN: Multi-institutional survey study.POPULATION STUDIED: Residents in all 4 Family Medicine residency programs in San Diego, CA.INTERVENTION: An inaugural multi-residency 3.5 hour educational symposium, held in April 2022, consisted of breakout sessions on updating climate-centric 'illness scripts' and plenary sessions about advocacy and plant forward nutrition. OUTCOME MEASURES: Participants were asked to complete a brief survey with a QR code on their mobile devices and were asked questions about demographics, career plans, and self-reported confidence (answered on a 7-point Likert scale) in climate-focused patient counseling for common medical scenarios. Data was analyzed using the Kruskal-Wallis test by ranks analysis.